title: [Extreme elevation of the blood pressure (hypertensive crisis): recommendations for its clinical-therapeutic approach].
abstract: From beginnings of last century the hypertensive emergency was defined as the association of acutely elevation from the arterial pressure and the appearance of damage to end organ. At present is recognized the effects of the hypertensive emergency, the aspects of its patophysiology in which are included phenomenon of vasomotricity and the participation of different substances with vasoactives properties. The clinical presentation includes not only the manifestations of the increase of the arterial pressure, the end organ damage too; for this reason the hypertensive emergency needs the immediate reduction of the arterial tension to prevent the damage to specific organs. The treatment in every case will have to be individualized, with a wide knowledge of the characteristics of every medicament to obtain the best results. The diagnosis and treatment of the hypertensive emergencies needs often of the attention of its complications if they have appeared and later, of a treatment of support for the arterial hypertension.
authors.affiliation: Departamento de Cardiología Adultos, Instituto Nacional de Cardiología, "Ignacio Chávez", INCICH, Juan Badiano Núm. 1, Col. Sección XVI, Tlalpan 14080, México, DF.
authors.forename: Celso
authors.initials: C
authors.lastname: Mendoza-González
authors.forename: Martín
authors.initials: M
authors.lastname: Rosas
authors.forename: Catalina
authors.initials: C
authors.lastname: Lomelí Estrada
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Lorenzo
authors.forename: Arturo
authors.initials: A
authors.lastname: Méndez
authors.forename: Jesús
authors.initials: J
authors.lastname: Martínez-Reding
authors.forename: Carlos
authors.initials: C
authors.lastname: Martínez-Sánchez
authors.forename: Gustavo
authors.initials: G
authors.lastname: Pastelín
authors.forename: Sergio Mario
authors.initials: SM
authors.lastname: Férez-Santander
authors.forename: Fause
authors.initials: F
authors.lastname: Attie
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D004638:Emergency Treatment; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*
chemical_list: D000959:Antihypertensive Agents